Exam 1 Practice Questions

In which part of the nursing care plan would the nurse expect to find this statement: Offer snacks and finger foods frequently. a. Assessment b. Diagnosis c. Planning and outcome identification d. Intervention e. Evaluation

d. Intervention

When providing respectful, appropriate nursing care, how should the nurse identify the patient and his or her observable characteristics? a. The manic patient in room 234 b. The patient in room 234 is a manic c. The patient in room 234 is possibly a manic d. The patient in room 234 is displaying manic behavior

d. The patient in room 234 is displaying manic behavior

Which communication technique would be most challenging for a new nurse to use therapeutically? a. Acknowledging feelings b. Sharing observations c. Giving information d. Interpretation e. Motivational interviewing

e. Motivational interviewing

Which statement made by a patient demonstrates a healthy degree of resilience? (select all that apply) a. "I try to remember not to take other people's bad moods personally." b. "I know that if I get really mad I'll end up being depressed." c. "I really feel that sometimes bad things are meant to happen." d. "I've learned to calm down before trying to defend my opinions." e. "I know that discussing issues with my boss would help me get my point across."

a. "I try to remember not to take other people's bad moods personally." d. "I've learned to calm down before trying to defend my opinions." e. "I know that discussing issues with my boss would help me get my point across."

As you begin working with her, you notice that your patient has an uncanny resemblance to your younger sister. As a child, this sister lied and criticized you constantly, then screamed and cried to others if you challenged her. You realize that you are responding negatively to this patient. What's going on here? a. Counter-transference b. Bias c. Transference d. Self-actualization

a. Counter-transference

In which part of the nursing care plan would the nurse expect to find this statement: "Patient voluntarily attends group activities but does not participate actively." a. Evaluation b. Assessment c. Diagnosis d. Planning

a. Evaluation

A person has a high level of resilience. Which other characteristics would the nurse expect this person to have? a. Optimism b. Patriotism c. Aggressiveness d. Depressed affect

a. Optimism

A nurse spends extra time with a client who has personality features similar to the nurse's estranged spouse. Which aspect of countertransference is most likely to result? a. Overinvolvement b. Misuse of honesty c. Indifference d. Rescue

a. Overinvolvement

The nurse in the mental health unit recognizes which as being therapeutic communication techniques? Select all that apply. a. Restating b. Listening c. Asking the client, "Why?" d. Maintaining neutral responses e. Providing acknowledgment and feedback f. Giving advice and approval or disapproval

a. Restating b. Listening d. Maintaining neutral responses e. Providing acknowledgment and feedback

A client experiencing disturbed thought processes believes that his food is being poisoned. Which communication technique should the nurse use to encourage the client to eat? a. Using open-ended questions and silence b. Documenting reasons why client doesn't want to eat c. Sharing personal preference regarding food choices d. Offering opinions about the necessity of adequate nutrition.

a. Using open-ended questions and silence

A nurse seeks to establish a relationship with a patient readmitted to the hospital. The patient has bipolar disorder, depressed type, and was hospitalized the preceding month. Which statement bu the nurse would contribute to establishing trust? a. "Weren't you complying with your medication regimen?" b. "It must be discouraging to be readmitted to the hospital so soon" c. "Most people with bipolar disorder end up in the hospital occasionally" d. "You must take yours drugs as prescribed to prevent hospitalization"

b. "It must be discouraging to be readmitted to the hospital so soon"

When considering stigmatization, which statement made by the nurse demonstrates a need for immediate intervention by the nurse manager? a. "Depression seems to be a real problem among the teenage population." b. "My experience has been that the Irish have a problem with alcohol use." c. "Women are at greater risk for developing suicidal thoughts then acting on them." d. "We've admitted several military veterans with posttraumatic stress disorder this month."

b. "My experience has been that the Irish have a problem with alcohol use."

When the community health nurse visits a client at home, the client states, "I haven't slept at all the last couple of nights." Which response by the nurse illustrates a therapeutic communication response to this client? a. "I see." b. "You're having difficulty sleeping?" c. "Really?" d. "Sometimes I have trouble sleeping, too."

b. "You're having difficulty sleeping?"

Becky tells you, "I have something secret to tell you, but you can't tell anyone else." The nurse agrees. What is the likely consequence of the nurse's action? a. Healthy feelings of sympathy by the nurse toward the client. b. Blurred boundaries in the nurse-client relationship. c. Improved rapport between the nurse and client. d. Enhanced trust between the nurse and client.

b. Blurred boundaries in the nurse-client relationship.

A nurse assesses a newly hospitalized client. Which communication technique will the nurse use most during the initial assessment to ascertain specific information? a. Rapid, high-pitched voice tone b. Closed-ended questions c. Direct eye contact d. Frequent touch

b. Closed-ended questions

Schemata, automatic thoughts, and cognitive distortions are terms that relate to: a. Rational-emotive behavioral therapy b. Cognitive-behavioral therapy c. Operant condition theory d. Biofeedback

b. Cognitive-behavioral therapy

Epidemiological studies contribute to improvements in care for individuals with mental disorders by: (select all that apply) a. Providing information about effective nursing techniques. b. Identifying risk factors that contribute to the development of a disorder. c. Identifying individuals in the general population who will develop a specific disorder. d. Identifying which individuals will respond favorably to a specific treatment.

b. Identifying risk factors that contribute to the development of a disorder. d. Identifying which individuals will respond favorably to a specific treatment.

A nurse seeks to establish a relationship with a patient readmitted to the hospital. The patient has bipolar disorder, depressed type, and was hospitalized the preceding month. Which statement by the nurse would contribute to establishing trust? a. Weren't you compliant with your medication? b. It must be discouraging to have been readmitted to the hospital so soon c. Everyone with bipolar disorder ends up in the hospital periodically d. You must take your medications religiously or you will be re-hospitalized

b. It must be discouraging to have been readmitted to the hospital so soon

The World Health Organization describes health as "a state of complete physical, mental, and social wellbeing and not merely the absence of disease or infirmity." Which statement is true in regards to overall health? (select all that apply) a. There is no relationship between physical and mental health. b. Poor physical health can lead to mental distress and disorders. c. Poor mental health does not lead to physical illness. d. There is a strong relationship between physical health and mental health. e. Mental health needs take precedence over physical health needs.

b. Poor physical health can lead to mental distress and disorders. d. There is a strong relationship between physical health and mental health.

Recognizing the frequency of depression among the American population, the nurse should advocate for which mental health promotion intervention? a. Including discussions on depression as part of school health classes b. Providing regular depression screening for adolescent and teenage students c. Increasing the number of community-based depression hotlines available to the public d. Encouraging senior centers to provide information on accessing community depression resources

b. Providing regular depression screening for adolescent and teenage students

Which of the following activities would be considered nursing care and appropriate to be performed by a basic level nurse for a patient suffering from mental illness? a. Treating major depression b. Teaching coping skills for a specific family dynamic c. Conducting psychotherapy d. Prescribing antidepressant medication

b. Teaching coping skills for a specific family dynamic

Which statement demonstrates the nurse's understanding of the effect of environmental factors on a patient's mental health? a. "I'll need to assess how the patient's family views mental illness." b. "There is a history of depression in the patient's extended family." c. "I'm not familiar with the patient's Japanese's cultural view on suicide." d. "The patient's ability to pay for mental health services needs to be assessed."

c. "I'm not familiar with the patient's Japanese's cultural view on suicide."

Which of these mental health problems has the highest annual prevalence in the United States? a. Schizophrenia b. Bipolar disorder c. Major depressive disorder d. Generalized anxiety disorder

c. Major depressive disorder

Which statement about mental illness is true? a. Mental illness is a matter of individual nonconformity with societal norms. b. Mental illness is present when irrational and illogical behavior occurs. c. Mental illness changes with culture, time in history, political systems, and the groups defining it. d. Mental illness is evaluated solely by considering individual control over behavior and appraisal of reality.

c. Mental illness changes with culture, time in history, political systems, and the groups defining it.

According to Freud, which aspect of the personality motivates an individuals to seek perfection? a. Id b. Ego c. Superego d. Not sure

c. Superego

A nursing student new to psychiatric-mental health nursing asks a peer what resources he can use to figure out which symptoms are present in a specific psychiatric disorder. The best answer would be: a. Nursing Interventions Classification (NIC) b. Nursing Outcomes Classification (NOC) c. NANDA-I nursing diagnoses d. DSM-5

d. DSM-5

As a nurse assesses a new client, the nurse makes sure the door remains open. Which type of communication factor is this action? a. Relationship b. Personal c. Non-verbal d. Environmental

d. Environmental

A nurse taught a client about important precautions associated with a new prescription. Afterward, the client accurately summarized major self-management strategies associated with this drug. Which step of the nursing process applies to the clients summarization? a. Assessment b. Analysis c. Intervention d. Evaluation

d. Evaluation